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Management of tonsil cancer
Author(s) -
Bradford Carol R.,
Futran Neal,
Peters Glenn
Publication year - 1999
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/(sici)1097-0347(199910)21:7<657::aid-hed11>3.0.co;2-6
Subject(s) - otorhinolaryngology , citation , library science , medicine , computer science , surgery
A 43-year old man is examined for evaluation of a persistent, right-sided sore throat for 4 months, and a painless, slowly enlarging right neck mass for 3 months. On further questioning, he has right otalgia, but denies dysphagia, odynophagia, hemoptysis, hoarseness, or weight loss. He has a 40 pack/year smoking history, but is otherwise in good health. Physical examination reveals a 3 cm × 3 cm exophytic mass involving the right tonsillar fossa and posterior tonsillar pillar. There is no trismus, the tongue base and soft palate are not involved, and his teeth are in good repair. The remainder of the head and neck examination is remarkable only for a firm, freely mobile 4 cm × 4 cm right level II lymph node. A chest radiograph is normal, and a neck CT is shown in Figure 1. Examination under anesthesia confirmed the above findings, and no synchronous primaries are seen in the upper aerodigestive tract and esophagus. The biopsy is positive for invasive moderately well-differentiated squamous cell cancer, therefore staged as T2 N2a M0.